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My Oxygen Level Is 98, but I Am Short of Breath
By
Jonathan Reed
Updated March 10, 2025

My Oxygen Level Is 98, but I Am Short of Breath. What Does It Mean?

Learn more about oxygen saturation levels in the blood, breathlessness, and possible causes. Also, find out about interventions such as breathing techniques and POC.

Product Specialist: Nora Ellis
Clinical Applications Specialist: Dr. Ethan Brooks

Shortness of breath while the oxygen level is 98% is baffling. Many conditions can contribute to shortness of breath. Medical conditions such as cardiovascular diseases, lung diseases, and anxiety can deprive the blood of normal oxygen saturation levels. This leads to shortness of breath. 

short-of-breath

Image Source: Buzzrx

We have researched quality medical resources to help you understand your symptoms. This will help you to know when it is necessary to seek medical advice

Here, you will find expert-backed healthcare insights from trusted and verified sources. Let’s walk this journey together to help you understand your health. 

Key Takeaways

  • Normal oxygen level.
  • Causes of shortness of breath with normal oxygen levels.
  • How to manage shortness of breath.
  • Seeking medical advice following shortness of breath.

 

What Is a Normal Oxygen Level?

A normal oxygen level ranges from 95% to 100%. Anything outside the range requires a clinical examination. You can quickly determine current body oxygen levels by using a Pulse Oximeter. This is a small, portable electronic device that is easy to use. 

A pulse oximeter may indicate normal oxygen saturation levels, but you may still experience shortness of breath. This may be due to your body fighting other medical conditions. 

There are two main models of oxygen concentrators:

  • Stationary or Home Oxygen Concentrators: They mainly use AC outlets and are meant for use within the home for less active patients.
  • Portable Oxygen Concentrators: They are small and use rechargeable batteries. The devices are ideal for an active person in need of oxygen therapy.

 

What Are Oxygen Saturation Levels?

Oxygen saturation levels are the amount of hemoglobin in the red blood cells that transfer oxygen in the blood. Healthy oxygen saturation levels range from 95% to 100%. 

Low oxygen saturation levels may drop below the range, meaning the person suffers from hypoxemia or low blood oxygen. This indicates a serious health complication.

Other factors, such as respiratory infections, chronic illnesses, and high altitude, can influence the amount of oxygen saturation. Pulse oximetry can help determine oxygen levels. Also, arterial blood gas can help determine the underlying factors.

Why Do I Feel Short of Breath Even With Normal Oxygen Levels

Studies associate dyspnea with several factors despite 98% oxygen saturation levels. These factors include:

  • Hyperventilation and anxiety reduce carbon dioxide levels, leading to shortness of breath.
  • Heart conditions such as irregular heart rate and heart disease affect the oxygen supply levels in the body.
  • Respiratory conditions such as pulmonary hypertension, sleep apnea, pulmonary fibrosis, and chronic obstructive pulmonary disease (COPD). This condition may manifest in the form of shortness of breath.
  • Anemia is a condition that presents as low hemoglobin that limits the levels of oxygen in the blood, prompting shortness of breath.
  • Respiratory muscle weakness contributes to difficulty breathing, leading to shortness of breath.

Common Causes of Shortness of Breath With Normal Oxygen Levels

Mainly, the following are the common causes of shortness of breath;

  • Pulmonary hypertension
  • Sleep apnea
  • Deconditioning and obesity
  • Escalating lung disease
  • Anemia

What Should You Do Next If You Feel Shortness of Breath?

A pulse oximeter may show normal blood oxygen levels, but you may still experience shortness of breath.  Here are essential steps in understanding your present health condition;

  • Track and monitor symptoms before and after experiencing shortness of breath.
  • Always use your pulse oximeter to track blood oxygen saturation levels. 
  • Try breathing techniques such as pursed-lip breathing to normalize breathing. 
  • In case of anxiety, try relaxation exercises.
  • Consult a healthcare provider if the symptoms persist and for further medical advice and examination.

What to Do if You Need Oxygen on the Go

Purchasing Portable Oxygen Concentrators (POCs) is the best choice if you need oxygen on the go. POCs are suitable because of;

  • Ease and safety when traveling.
  • The rechargeable batteries.

To avoid any inconveniences;

Battery Life and Charging Options

  • Carry a separate battery for the POCS in case of emergency
  • Track the battery life and ensure you fill the oxygen concentrator at home.

Accessories for Car Use

All the necessary car accessories require proper servicing and maintenance to avoid inconveniences. Connect your POC using car adapters to ensure consistent oxygen delivery.

Consult your healthcare giver for supplemental oxygen or oxygen therapy for complex conditions such as pulmonary fibrosis, COPD, and pulmonary hypertension.

Caregivers administer supplemental oxygen using tanks or concentrators to ensure enough oxygen levels to safeguard the patient from breathlessness. 

Long-Term Complications of Hypoxemia

Untreated hypoxemia can quickly progress into a life-threatening condition. The progress can exacerbate a prevailing heart condition associated with respiratory disorders and heart diseases, leading to a low quality of life. 

In some cases, untreated hypoxemia can lead to impaired cognitive function. This can progress to confusion or unconsciousness and an increased risk of heart failure. Generally, untreated hypoxemia is life-threatening and a potential risk to the quality of life. 

Solutions for Managing Shortness of Breath

Shortness of breath can be life-threatening, so you should master quick and efficient solutions to manage the situation. 

An efficient method of managing shortness of breath is mastering and adapting different breathing techniques. For instance;

  • Breathing techniques such as diaphragmatic breathing are good for controlling anxiety attacks and normalizing oxygen techniques.
  • For cardiovascular or lung diseases such as COPD, it is always safe to carry an inhaler to improve oxygen delivery.
  • Most importantly, regular exercises are ideal for improving oxygen saturation levels and strengthening the respiratory muscles.
  • Eating a healthy diet and practicing pursed-lip breathing can help control shortness of breath, improving oxygen supply.

Conclusion

Shortness of breath is possible even with normal oxygen concentration levels. Cardiovascular and lifestyle diseases are also leading causes of shortness of breath. 

Therefore, identifying the root cause and practicing healthy breathing techniques are paramount. However, it is good to seek medical advice if symptoms persist.

A respiratory therapist is a first aid giver before proceeding for checkups by a healthcare provider.  

Consult a healthcare professional to ensure accurate treatment options and proper management of the present and underlying conditions.

Reference
I am Dr. Jonathan Reed, a proud member of the readyO₂ team. With a background in respiratory therapy, I’m dedicated to helping those in need by answering questions and providing clarity. I strive to educate and inspire our audience by making complex topics accessible and engaging. My goal is to educate and inspire our audience, ensuring they have the information necessary to make informed decisions about their health. It’s a privilege to support individuals on their journey to better breathing and well-being.

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